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Traumatic ventricular septal defect

M Genoni1, R Jenni, M Turina

  • 1Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.

Heart (British Cardiac Society)
|December 10, 1997
PubMed
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Blunt chest trauma can cause ventricular septal defects (VSDs) due to heart compression or myocardial infarction. Early detection and repair are crucial for patient recovery after traumatic injuries.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Blunt chest trauma is a significant cause of injury, often resulting from motor vehicle accidents.
  • Seatbelt use is crucial for preventing severe injuries during traffic accidents.
  • Delayed diagnosis of cardiac complications can lead to adverse outcomes.

Observation:

  • A 26-year-old male sustained crush injuries after a car accident without wearing a seatbelt.
  • Initial radiography revealed multiple fractures, including femur, tibia, and ribs.
  • Worsening respiratory status and a new cardiac murmur prompted further investigation.

Findings:

  • Transthoracic echocardiography identified an apical ventricular septal defect (VSD).
  • The VSD was successfully repaired using a Teflon felt patch and sutures.

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  • The patient recovered well at six months post-surgery.

    • Implications:

    • Ventricular septal defects can arise secondary to post-traumatic myocardial infarction following blunt chest trauma.
    • Close monitoring of patients with blunt chest trauma and suspected cardiac contusion is essential.
    • Prompt diagnosis and surgical intervention for traumatic VSDs improve patient prognosis.